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1114130663
TAVISH BRINTON
LEESVILLE, SC
NPI
1114130663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
176B00000X Midwife
(Licence: SC SCDHEC MW003)
Enumeration Date
2007-05-08
Last Update Date
2009-09-08
Business Address
TAVISH BRINTON LM, CPM
1644 CHARLES TOWN RD
LEESVILLE, SC 29070-9670
Phone number: 803-894-3829
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Mailing Address
TAVISH BRINTON LM, CPM
1644 CHARLES TOWN RD
LEESVILLE, SC 29070-9670
Phone number: 803-894-3829
Copy
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